| Title | Long-term effectiveness of steroid injections and splinting in mild and moderate carpal tunnel syndrome. | | Author(s) | Sevim S, Dogu O, Camdeviren H, Kaleagasi H, Aral M, Arslan E, Milcan A | | Institution | Department of Neurology, Faculty of Medicine, Mersin University, Noroloji Anabilim Dali, 33070 Mersin, Turkey. serhansevim@mail.koc.net | | Source | Neurol Sci 2004 Jun; 25(2):48-52. | | MeSH | Adult
Aged
Betamethasone
Carpal Tunnel Syndrome
Comparative Study
Double-Blind Method
Electromyography
Electrophysiology
Follow-Up Studies
Glucocorticoids
Humans
Injections, Intra-Articular
Middle Aged
Neural Conduction
Prospective Studies
Severity of Illness Index
Splints
Treatment Outcome
Wrist Joint
| | Abstract | To evaluate the long-term efficacy of non-surgical treatment methods for mild and moderate carpal tunnel syndrome, 120 patients with clinical symptoms and electrophysiologic evidence were included in a prospective, randomized and blinded trial: 60 patients were instructed to wear splints every night, 30 received injections of betamethasone 4 cm proximal to the carpal tunnel, and 30 received injections distal to the carpal tunnel. After approximately 1 year (mean, 11 months; range, 9-14), 108 patients were available for final evaluation. We assessed clinical symptom severity and performed detailed electrophysiologic examinations before and after treatment. Splinting provided symptomatic relief and improved sensory and motor nerve conduction velocities at the long-term follow-up when the splints were worn almost every night. Proximal and distal injections of steroids were ineffective on the basis of both clinical symptoms and electrophysiologic findings. | | Language | eng | | Pub Type(s) | Clinical Trial
Journal Article
Randomized Controlled Trial
| | PubMed ID | 15221621 |
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